An evaluation will determine whether the man is able to decode objective and subjective data. This will help develop a personalized treatment plan. Advanced practice nurses will examine subjective information, such as the patient’s primary complaint and their current medical history. The APRN can also interpret the client’s medical, personal, and medication histories, as well as any known food or drug sensitivities. Client’s main complaint is his persistent urinary problems. He expected that they would get better, but instead, the problem seems to be increasing. Senior patient experienced some of the following symptoms: urinary frequency, fluid retention, a feeling of fullness in his lower abdomen, and pee dribbling. The current condition must be investigated using various techniques such as review systems, physical examinations, imaging examinations and laboratory testing.
The patient forgot to record his medication history, social history and family history. APN revealed that benign prostatic hypertension and benign prostatic swelling were the previous medical conditions of this patient. A patient’s medical history showed that he/she had been taking irregular amounts of Flomax and cranberry tablet on an undetermined basis. He claimed that Aldomet had been prescribed, however, the patient was not taking it due to sexual dysfunction.
The APRN may interpret some objective data based upon the results of a thorough review of patient’s medical history and physical exam. The evaluation of systems can be done using four different methods: observation, palpation (percussion), auscultation, and observation. Analyzing the respiratory and cardiovascular systems to identify malfunctions and anomalies. Auscultation should evaluate normal lung flow and normal heart sounds. An abnormal airway entry may indicate respiratory dysfunctions or anatomical anomalies. Higgen and colleagues, 2021. Auscultation will also rule out abnormal heart sounds that could be indicative of cardiomyopathies. In order to evaluate the cardiovascular system further, an APRN checked the patient’s pulse. The blood pressure was then raised to 180/100 mmHg. The heart rate was 76 beats/minute, with a capillary replenishment time of just 2 seconds. This was acceptable within hemodynamic parameters. The APRN examined the bilateral dorsal surfaces of the feet to rule out pitting oedema. However, it was absent bilaterally. Further evaluation revealed that dyspnea was present and the respiratory rate for 10 patients was 18 breaths per min.